Objective  To examine the trend in heart disease mortality among the residents in mortality surveillance points in Hebei province from 2014 to 2019, and to provide references for developing relevant intervention measures.

  Methods  From Hebei Province Death Registration Management System, we extracted all records of heart disease death from January 1, 2014 to December 31, 2019 among residents living in regions covered by the Mortality Surveillance System. The collected data were analyzed using descriptive statistics methods.

  Results  Among the population in 30 mortality surveillance points across the province, totally 173 521 heart disease deaths were registered during the 6-year period. The annual heart disease mortality rate (1/100 000) for the years of 2014 – 2019 were 186.85, 180.18, 184.17, 192.98, 214.01, and 207.06 and the standardized mortality rate were 191.26, 185.50, 172.31, 173.83, 178.89, and 170.56, respectively. For the 6-year period, there was a significant downward trend in overall and gender-specific standardized heart disease mortality rate (for total population: χ²_trend = 171.553, P < 0.001; for males and females: χ²_trend = 51.327 and 119.630, both P < 0.01); the age-specific heart disease mortality rate presented an upward trend for the residents aged 35 – 39, and ≥ 85 years (all P < 0.05) but a downward trend for the residents aged 20 – 40, 40 – 44, 60 – 64, 65 – 69, 70 – 74, 75 – 79 and 80 – 84 years (all P < 0.01). For all the heart disease mortalities, the constituent ratio was 69.17% for ischemic heart disease, 19.79% for hypertensive heart disease, 1.66% rheumatic heart disease, 8.95% for other heart diseases, and 0.44% for inflammatory heart disease, respectively.

  Conclusion  From 2014 to 2019, the heart disease mortality showed a downward trend generally among the residents in mortality surveillance points in Hebei province and ischemic heart disease was a main contributor to the mortalities.